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*Denotes a generic available in at least one dosage form or strength - page 10 / 26

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This PDL reference tool is to aid a prescribing physician with generic availability and preferred product status. A "substitution allowed" physician signature on a prescription should not require a PA to be obtained if a generic agent is available.

none

none

none

clonidine

Catapres*

clonidine

Catapres-TTS*

guanafacine

Tenex*

guanabenz

methyldopa

methyldopa and HCTZ

none

clonidine and

chlorthalidone

none

Tekturna

none

none

Tekturna HCT Valturna**

none

Proglycem

hydralazine minoxidil

none

none

none

none none

BiDil

hydralazine and HCTZ

spironolactone

Aldactone*

bumetanide

Bumex*

torsemide

Demadex*

chlorothiazide

Diuril*

Diuril Sodium

Edecrin

eplerenone

Inspra*

indapamide

furosemide

Lasix*

hydrochlorothiazide

Microzide*

(HCTZ)

Samsca

chlorthalidone

Thalitone*

metolazone

Zaroxolyn*

amiloride

hydrochlorothiazide

(HCTZ)

methyclothiazide

spironolactone and HCTZ

Aldactazide*

triamterene and HCTZ

Dyazide*

triamterene and HCTZ

Maxzide*

amiloride and HCTZ

none

Ranexa

none

Inversine

Nitro-BID

isosorbide mononitrate

Dilatrate-SR Imdur*

isosorbide mononitrate isosorbide dinitrate nitroglycerin isosorbide mononitrate nitroglycerin nitroglycerin

nitroglycerin amyl nitrite

Ismo* Isordil* Minitran* Monoket* Nitro-Dur* Nitroglyn* Nitrolingual Nitrostat*

none

reserpine

none

*Denotes a generic available in at least one dosage form or strength **Will be reviewed at a future time when eligible

Effective 4/1/2010

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